[Report of the Medical Officer of Health for Lewisham Borough]

Page 7

Births ( adjusted for inward and outward transfers)

Livebirths			3,161

Page 9

General summary of Vital Statistics for the last ten years Table 2

Year	Estimated population	Births		Deaths		Deaths under one year		Deaths from pulmonary tuberculosis

Page 10

Causes of death at different periods The following table shows the causes of and Tibk

Causes of death		Nett deaths at the subjoined age of "residents" whether occurring within or without the borough
		MALES									Total Persone (i.e., incl. table opp.
		All ages	Under 1 yr.	1 and under 5	5 and under 15	IS and under 25	25 and under 45	45 and under 65	65 and under 75	75 and over

Page 11

of life during the year 1952 ages at death during the calendar year 1952:—

Nett deaths at the subjoined ages of " residents " whether occurring within or without the borough
Causes of death		FEMALES									Total persons (i.e.. incl. table opp.)
		All ages	Under 1 yr.	1 and under 5	5 and under 15	IS and under 25	25 and under 45	45 and under 65	65 and under 75	75 and over

Page 12

Deaths under 1 year of age Table 4

Cause of death	Sex	Under 1 day	1-6 days	/ week	2 weeks	3 weeks	Total under 4 wks.	1-2 mths.	3-5 mths.	6-8 mths.	9-11 mths.	Total l-ll mths.	Total under l yr.

Page 13

Table 5

Average of four weeks ending	Lewisham	Downham	Kidbrooke	Norwood

Page 13

Social class in relation to cause of death Of the 2,577 deaths analysed by us the social categories were as follow : — Table 6

Social class	1	II	III	IV	V	Total	No information

Page 14

Table 7

Code No.	Cause of death	Male						Female
Code No.	Cause of death	1	II	Ill	(V	V	Total	1	II	Ill	IV	V	Total

Page 15

Table 8

Page 16

Table 9

		Social classification					Total	Not classifiable
		1	II	III	IV	V	Total	Not classifiable

Page 20

Lung Cancer — Ward Statistics, 1946-52 Table 10

Ward	Doubtful	Others	Total	Electors	Incidence*
					Excluding doubtfuls	Including doubtfuls

Page 21

Continued from previous page...

Page 22

Table 11

Year	Population	Death rate »	Birth rate *	Premature birth rate t	Maternal death rate t	Still.birth rate t	Neonatal death rate **	One month to one year death rate (10). (8) **	Infant mortality rate **	Reproductive wastage rate (7)+ (10)	Pulmonary tuberculosis		Tubercuodis(allforms)
Year	Population	Death rate »	Birth rate *	Premature birth rate t	Maternal death rate t	Still.birth rate t	Neonatal death rate **	One month to one year death rate (10). (8) **	Infant mortality rate **	Reproductive wastage rate (7)+ (10)	Notif. rate*	Death rate*	%notif. rate

Page 23

Table 12

	West	North	South	Total

Page 24

Continued from previous page...

	West	North	South	Total
Articles received from cleansing station	-	4650	-	4650
Articles received from Coroner's court	—	401	—	401
Public library books treated after infection	231	390	464	1085
Private library books treated after infection	56	100	37	193
Articles treated under the Public Health (London) Act s.122	6476	1110	9443	17029
Cleansing station Children treated for verminous condition	309	258	289	856
Adults treated for verminous condition	19	22	18	59
Scabies baths, children	20	6	18	44
Scabies baths, adults	7	11	8	26

Page 24

Table 13

	First cleansing	Second cleansing	Third cleansing		Fourth cleansing

Page 26

The following summary relates to the work carried out by the laboratory on behalf of the Council during 1952:—

Nose, Throat and Eye swabs	197

Page 27

Table 14

Month	Bodies received from hospitals	Others	Post-mortem examinations		Inquests
			Lewisham residents	Others

Page 28

Table 15

	Parliamentary Division			Total
	West	North	South	Total

Page 28

The following is a summary of the results obtained:—

Summer treatment

Page 29

Table 16

River	No. of base points	Prebaitin g				Poison bait		Estimated rats killed
		No. of days on which prebait laid	Results			Amount laid (lbs.)	Amount taken (lbs.)
		No. of days on which prebait laid	Takes	Partial takes	No takes	Amount laid (lbs.)	Amount taken (lbs.)

Page 30

Table 17

Type of property	(i)	(ii)		(iii)		(iv)	(v)
	Total in borough	Properties inspected as a result of (a) notification or (b) otherwise		Properties under (ii) found to be rat infested		Properties found to be seriously mouse infested	Infested properties (under iii and iv) treated
	Total in borough	(a)	(b)	Major	Minor	Properties found to be seriously mouse infested	Infested properties (under iii and iv) treated

Page 31

Table 18

Location	No. of properties*	No. of base points	Prebaiting				Poison bait		Estimated rats killed
			No. of days on which prebait laid	Results			Amount laid (ozs.)	Amount token (ozs.)
			No. of days on which prebait laid	Takes	Partial takes	No evidence	Amount laid (ozs.)	Amount token (ozs.)

Page 33

v. ii-i ii Table 19

Description of the sample	No. of samples	Ammoniacal nitrogen	Albuminoid nitrogen	Oxidised nitrogen (nitrate)	Chlorides as CI.	Oxygen abs. from permanganate (3 hrs. at 2TC)	Hardness (total)	Hardness (non-carbonate)	pH value	Conductivity

Page 33

(b) BACTERIOLOGICAL Table 20

	No. of samples	Agar colony count (average per millilitre)		Percentage of samples negative to Bact. coli in 100 ml.	Bact. coli per 100 ml.
	No. of samples	22°C 3 days	37°C (20-24 hrs.)	Percentage of samples negative to Bact. coli in 100 ml.	Bact. coli per 100 ml.

Page 36

Atmospheric Condition Table

	Temperature						Rainfall		Sunshine*		Wind'
	Mean max.*	Mean min*	Mean*	Diff. from av.*	Highest max 4	Lowest min 4	Totalf	% av.*	Daily mean	% av.	NE/E/ SE	s/sw/w	NW\| Call

Page 37

11952

Pooll Allotments§			Verdant Lane			Wearside Road			Weather summary
Wot tr ml. intttr	Water sol. matter	Sulphur	Water insol. matter	Water sol. matter	Sulphur	Water insol. matter	Water sol. matter	Sulphur
TPA	TPA	¶	TPA	TPA	¶	TPA	TPA	¶

Page 41

The age distribution is shown in the following table:— Table 22

	0-1	1-5	5-/5	15-45	45-65	65-75	75 plus

Page 43

Respiratory death rate in wards :— Table 23

Ward	Electors (nearest 100)	Respiratory deathsf	Rate per 10,000

Page 45

Reason for Inspection	West	North	South	Total

Page 46

Continued from previous page...

Reason for inspection	West	North	South	Total

Page 46

Summary of notices served in 1952 Table 25

	West	North	South	Total

Page 47

Nuisances remedied Table 26

Nuisance	West	North	South	Total

Page 48

Inspections Table 27

Premises	Number	Number of
Premises	on register	Inspections	Written notices	Occupiers prosecuted

Page 49

Cases in which defects were found Table 28

Defects	No. of cases in which defects were found				No. of cases in which prosecutions were instituted
	Found	Remedied	Referred
			To H.M. Inspector	By H.M. Inspector

Page 50

The following is a list of trades concerned, extracted from the August, 1952 lists received:—

Trade	Outworkers employed

Page 54

SECTION "D" — HOUSING Building The following new houses or flats were completed by the Council during the year:—

Page 55

Table 29

West		North	South	Total

Page 56

Demolition orders (section 11) The following is a list of cases involving demolition order procedure which originated in or were complied with during 1952, together with the present position of cases originating in previous years which had not been complied with at the end of 1951:— Table 30

Properties	Dwellings involved	Present position

Page 57

Closing orders (section 12) The following is a list of closing orders which were originated, determined, became operative, or were varied during 1952:- Table 31

Properties	Part of house	Present position

Page 59

Clearance areas and individual unfit houses The following is a copy of a return made to the Ministry of Housing and Local Government relating to action taken under the Housing Acts, 1936 to 1949 during the year ended March 31, 1952 and showing the position at the end of the period:— Table 32 PART A —CLEARANCE AREAS

	Dwelling-houses demolished		Persons displaced
	Unfit houses	Other houses	Persons displaced

Page 59

PART B —UNFIT HOUSES NOT INCLUDED IN CLEARANCE AREAS

Houses			Persons displaced

Page 60

The programme for Lewisham was as follows:—

Year	Locality	Approximate No. of dwellings	Responsible authority

Page 62

Table 33

Month	West	North	South	Total

Page 63

The following is a tabulated statement of various statistics, as submitted to the London county council:—

Item	Total

Page 64

Table 34

Dealer's		Supplementary	Total

Page 64

Table 35

Period	Samples	Average composition of samples examined Percentage of
Period	Samples	Milk fat	Solids not fat	Water

Page 65

Table 36

Grading	Parliamentary division				Total
Grading	West	North		South	Total

Page 65

Table 37

	Samples	Average percentage composition
		Fat	Milk solids-not fat	Sucrose	Water

Page 66

The following table gives the groupings and the results of the samples analysed:— Table 38

ARTICLES	Examined							Adulterated
	Informal			Formal			Total	Informal			Formal			Total
	W	N	S	W	N	S	Total	W	N	S	W	N	S	Total

Page 67

Adulterated samples Table 39

Parliamentary division	Article	Formal or informal	Adulteration or irregularity	Action taken

Page 70

Table 40

Cattle excl. cows		Cows	Calves	Sheep and lambs	Pigs	Goats

Page 74

Table 41

Diseases	1952	1951	Cases notified			1947	1946
Diseases	1952	1951	1950	1949	1948	1947	1946

Page 75

Notifications of infectious diseases in 1952 showing sex and age groups:— Table 42

Diseases	Under 1		/-		3-		5-		10-		15-		25-		45-		65 plus		Total
Diseases	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 76

Analyses of certain diseases in table 42 into divisional areas:— Table 43

Disease	Div. areas	Under 1	1-	3-	5-	10-	15-	25-	45-	65+	Total

Page 77

Table 44

	W	N	S	Total

Page 78

Table 45

	Primary notifications of new cases		Deaths
	1951	1952	1951	1952

Page 79

Table 46

Age periods	New cases notified						Deaths
	Pulmonary		Non-Pulmonary		Totals		Pulmonary		Non-Pulmonary		Totals
	M	F	M	F	M	F	M	F	M	F	M	F

Page 79

Analysis of new cases of tuberculosis into divisional areas:— Table 47

Division		Sex	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	Total

Page 80

Table 47— continued

Division		Sex	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	Total

Page 80

Cases of tuberculosis coming to the notice of the department other than by formal notification:— Table 48

Age period	Pulmonary		Non-pulmonary		Total
	M	F	M	F	M	F

Page 80

The sources from which information of the cases in the last table was obtained were as follows:— Table 49

Source of information	Pulmonary		Non-pulmonary

Page 81

Quarterly revision of tuberculosis register:— Table 5O

	Pulmonary		Nonpulmonary
	M	F	M	F

Page 81

Summary of Statistics as to Tuberculosis for the last ten years Table 51

Year	Population	New cases notified (all forms) (excluding inward transfers)	Notif. rate per thousand pop.	Deaths		Death rate from resp. tuberculosis per thousand pop.
Year	Population	New cases notified (all forms) (excluding inward transfers)	Notif. rate per thousand pop.	All forms	Respiratory	Lewisham	County of London

Page 82

Table 52

W		N	S	Total

Page 82

TB cases visited in 1952—conditions found Table 53

(o) Primary case in house			(b) Second case in house Non transfer		(e) Second case in house Inward transfer

Page 84

Immunisation against diphtheria; whooping cough; smallpox Table 54 ,

Age at December 31, 1952	Under	1	2	3	4	5-9	10-14	Total under

Page 85

(iii) Vaccination against smallpox

Age at December 31, 1952	Under 1	1-4	5-14	IS and over	Total
Primary:—
Clinics	1,021	154	29	25	1,229
Private doctors	561	200	66	119	946
Revaccination:—
Clinics	-	7	11	70	88
Private doctors	5	16	63	422	506

Page 88

Public Health (London) Act, 1936

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 89

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 90

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 91

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 91

APPEALS

Date of hearing	Nature of appeal	Remarks

Page 91

BYELAWS MADE BY THE LONDON COUNTY COUNCIL

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 91

HOUSING ACT, 1936

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 92

FOOD AND DRUGS ACT, 1938

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 94

TABLES

TABLE NO.	SUBJECT	PAGE	TABLE	SUBJECT	PAGE
TABLE NO.	Section A	PAGE	NO.	Section D	PAGE

Page 94

CHARTS

	PAGE

Page 95

INDEX

SUBJECT	PAGE	SUBJECT	PAGE

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

Lewisham 1952

79 tables in this report

Births ( adjusted for inward and outward transfers)

General summary of Vital Statistics for the last ten years Table 2

Causes of death at different periods The following table shows the causes of and Tibk

of life during the year 1952 ages at death during the calendar year 1952:—

Deaths under 1 year of age Table 4

Table 5

Social class in relation to cause of death Of the 2,577 deaths analysed by us the social categories were as follow : — Table 6

Table 7

Table 8

Table 9

Lung Cancer — Ward Statistics, 1946-52 Table 10

Continued from previous page...

Table 11

Table 12

Continued from previous page...

Table 13

The following summary relates to the work carried out by the laboratory on behalf of the Council during 1952:—

Table 14

Table 15

The following is a summary of the results obtained:—

Table 16

Table 17

Table 18

v. ii-i ii Table 19

(b) BACTERIOLOGICAL Table 20

Atmospheric Condition Table

11952

The age distribution is shown in the following table:— Table 22

Respiratory death rate in wards :— Table 23

Continued from previous page...

Summary of notices served in 1952 Table 25

Nuisances remedied Table 26

Inspections Table 27

Cases in which defects were found Table 28

The following is a list of trades concerned, extracted from the August, 1952 lists received:—

SECTION "D" — HOUSING Building The following new houses or flats were completed by the Council during the year:—

Table 29

Demolition orders (section 11) The following is a list of cases involving demolition order procedure which originated in or were complied with during 1952, together with the present position of cases originating in previous years which had not been complied with at the end of 1951:— Table 30

Closing orders (section 12) The following is a list of closing orders which were originated, determined, became operative, or were varied during 1952:- Table 31

PART B —UNFIT HOUSES NOT INCLUDED IN CLEARANCE AREAS

The programme for Lewisham was as follows:—

Table 33

The following is a tabulated statement of various statistics, as submitted to the London county council:—

Table 34

Table 35

Table 36

Table 37

The following table gives the groupings and the results of the samples analysed:— Table 38

Adulterated samples Table 39

Table 40

Table 41

Notifications of infectious diseases in 1952 showing sex and age groups:— Table 42

Analyses of certain diseases in table 42 into divisional areas:— Table 43

Table 44

Table 45

Table 46

Analysis of new cases of tuberculosis into divisional areas:— Table 47

Table 47— continued

Cases of tuberculosis coming to the notice of the department other than by formal notification:— Table 48

The sources from which information of the cases in the last table was obtained were as follows:— Table 49

Quarterly revision of tuberculosis register:— Table 5O

Summary of Statistics as to Tuberculosis for the last ten years Table 51

Table 52

TB cases visited in 1952—conditions found Table 53

Immunisation against diphtheria; whooping cough; smallpox Table 54 ,

(iii) Vaccination against smallpox

Public Health (London) Act, 1936

APPEALS